Document 6b1KKnpNDVX6Nyay0EQ3qvaj3

Wast Manag ment, Inc. i ;er tication of GENERATOR'S WASTE MATERIAL PROFILE SHEhf RECERTIFIED WASTE PROFILE SHEET CODE iLQTfeas Uet /instructions- a copy of the complete generator s waste material profile sheet which is being recertified must be attached to this recertification fg=v I ordinarily th last complete profile sheet will be attached to your contract if you have any difficulty locating-the last complete profile sheet contac* --- I person Shown BElOW in ADDITION WE ASK YOU TO COMPLETE The REMAINDER OF This FORM AND TO HAVE IT SIGNED BY AN AUTHORIZED EMPLOYEE ANSWERS MUST BE MACE 'C ALL QUESTIONS AND MUST BE COMPLETED IN INK INFORMATION SURRLlEDWILL BE MAINTAINED IN STRICT CONFIDENCE CONSISTENT with LEGAL REQUIREMENTS t O ASiQftl rti i :Qrvm5\.\Aax.UoS A GENERAL INFORMATION GENERATOPNAME l PP4 ) zlr. facility address l PC, Bo* /60il. CaluMhW ?/>^Kg>gEj (Pt>xkA WiesiUkt.. LA J TRANSPORTER l 7Z. _l TRANSPORTER PHONE I (**) *27- knz. J GENERATOR USEPA I D i L A A o o .fl .ft &L 3lo U U&E. Chiles, LA,__Takoz _J GENERATOR state D I C SMU) L peRtyTECHNICAL CONTACT l i ___________________i title l ajj. 1 -4310?y}a.> phone piiM NAME OF WASTE L Scl.'JS PnailAMimlA^*pJ. utljh *74tkibAOe.-fki pp4.uzltQri___ ez__ Chltyg/u/UeJ__ (\y<LtoCA*hoc& PROCESS GENERATING WASTE :hanges or additions since last profile sheet preparation or recertification ' *iAVE VOL1 CSTAINEC AMY LABORATORY ANALYSIS OF THIS WASTE? __ YES _ NO (IF YES. PLEASE ATTACH COPIESi G2 HAVE YOU CHANGED the raw MATERIALS USED in THE WASTEGENERATING PROCESS' YES ^"nO 3 HAVE YOU CHANGED THE WASTE-GENERATING PROCESS ITSELF' G YES 3"no 4 ARE YOU AWARE OF ANY FACTS OR CIRCUMSTANCES WHICH HAVE, OR REASONABLY COULD HAVE ALTERED THE PHYSICAL OR HAZARDOUS CHARACTERISTICS OR CHEM CAL COMPOSITION OF the WASTE' --YES 2" NO 5 ABE YOU AWARE OF ANY HUMAN HEALTH EFFECTS OF EXPOSURE TO the WASTE NOT PREVIOUSLY DESCRIBED^ -- YES 6 IF YOU ANSWERED yes TO QUESTIONS Z. 3. 4 OR 5. PLEASE PROVIDE DETAILS BELOW NO C SPECIFIC CONSTITUENTS DOES THIS WASTE CONTAIN POLYCHLORINATED BIPHENYLS' YES does this waste contain 2.3.7,8 tcdd' yes 'no "fio f D SHIPPING INFORMATION GI METHOD OF SHIPMENT BULK LIQUID BULK SOLID S^DRUM (TYPE/SIZE) L_ ^^^ANTiniPATFnvm iimf i i Gaik i --------------------W ^^PER ONETIME G WEEK MONTH QUARTER JQ YEAR D|________ J CUBIC YDS. I_ _l OTHER ' BRlECERTIFICATION. I AM AN EMPLOYEE OF THE GENERATOR AUTHORIZED TO SIGN THIS CERTIFICATION. THE INFORMATION PROVIDED IN THE RECERTIFIED WASTE PROPILE SHEET aftached hereto, and the information supplied above, are complete, true and correct. (jALD L , flew NAME- L_ ___________ ___________ _ 1 SIGNATURE: TITLE: I EiUyia^m+tJ-l+L OotJj/hcL s^a~',AUst_______ _____ I DATE.L. cr, SL 046264 FORM WMI-SO-BIRpv 12/B4I ^ 1984 WASTE MANAGEMENT INC CERTIFICATION OF REPRESENTATIVE SAMPLE LH E2Sb/S WASTE PROFILE SHEET CODE GENERAL DIRECTIONS: IN ORDER TO DETERMINE WHETHER WE CAN ACCEPT THE SPECIAL WASTE DESCRIBED IN THE ABOVE NUMBERED PROFILE SHEET. WE MUST OBTAIN A REPRESENTATIVE SAMPLE OF THE WASTE WE WILL ANALYZE THE SAMPLE TO VERIFY THE INFORMATION YOU HAVE PROVIDED US, SO IT IS PARTICULARLY IMPORTANT THAT THE SAMPLE BE TRULY REPRESENTATIVE. IN MOST CIRCUMSTANCES YOU WILL BE OBTAINING THE SAMPLE HOWEVER. IN THOSE CASES IN WHICH WE OBTAIN THE SAMPLE WE MUST ASK THAT ONE OF YOUR EMPLOYEES BE PRESENT TO DIRECT THE PARTICULAR SOURCE TO BE SAMPLED AND TO WITNESS THE SAMPLING. IN SUCH CASE YOUR EMPLOYEE MUST SIGN THIS CERTIFICATION AS A WITNESS. THIS CERTIFICATION MUST BE RETURNED, WITH THE REPRESENTATIVE WASTE SAMPLE, TO: -__ rUMI p 0- BOX SB,, HUY. 17, MTI F MARKFR 1ST ___ EMELLE. AL 35459_________________________________________ THE UNDERSIGNED CERTIFIES THAT HE/SHE OBTAINED A REPRESENTATIVE SAMPLE OF THE WASTE MATERIAL DESCRIBED IN THE "GENERATOR'S WASTE MATERIAL PROFILE SHEET" ABOVE REFERENCED, AND THAT THE FOLLOWING REPRESENTATIONS ARE TRUE AND CORRECT: 1. HOUR AND DATE OF SAMPLING: 2. SOURCE FROM WHICH SAMPLE TAKEN: << * t.nrmim.mrf gamplo A camp!e ic nnt prPCPntly ax/ailahlp. A camplp ran hp cpnt proroH-mg tho novt chipmpnt nr it ran hp camplpd hy ynti iipnn amual at ym.r ------ 3. l<jfiftMENT AND SAMPLING METHOD USED: _______________________________________ 4. AMOUNT OF SAMPLE OBTAINED:__________________________ 5. TYPE OF CONTAINER INTO WHICH SAMPLE WAS PLACED: 6. THE SAMPLING EQUIPMENT USED, AND THE CONTAINER INTO WHICH THE SAMPLE WAS PLACED, WERE THEMSELVES UNCONTAMINATED BEFORE USE. 7. AT THE TIME OF SAMPUNG I AFFIXED A LABEL TO THE CONTAINER IN THE FOLLOWING FORM WITH THE FOLLOWING INFORMATION (FILL IN THIS PORTION, INCLUDING YOUR SIGNATURE, JUST AS IT APPEARS ON THE LABEL YOU PREPARED): GENERATOR: PPG INDUSTRIES, INC. WASTE NAME^s^j W SAMPLE HOUR/DATE: PROFILE SHEET CODE: LtM- SAMPLER SIGNATURE:_______________________________ WITNESS VERIFICATION: RNT)OU0IW0(1WRJBWIJI5WNJSPW0tj^B6O( I DIRECTED THE WASTE SOURCE TO BE SAMPLED; AND I VERIFY THE INFORMATION ABOVE NOTED. SAMPLER NAME: SIGNATURE:__________ WITNESS: _ F. Annp r.nrhplln__________ _^ SIGNATURE: t __ TITLE:______ EMPLOYER: TITLE_______ Sr. Lab Analyst___________ DATE:______ EMPLOYER:. PPG TnrinctHpc, Tnr______ DATE:______ ___________________________ _ LABORATORY REVIEW OF SAMPLING PROTOCOL BASED UPON MY REVIEW OF THE ABOVE PROFILE SHEET, I CONCLUDE THAT THE ABOVE METHODOLOGY IS: ADEQUATE FOR YIELDING A REPRESENTATIVE SAMPLE. FOAM WMW1 (Aw. M3) 1W0 WASTE MANAGEMENT. INC INADEQUATE FOR THE REASONS NOTED HEREON. DATE_________________ ' LAB MGR:__________________ SL 046265 y*-7.' ; Wssto MflitsoGnu ntj- > <> ^ - --. '*-*= -- --*`frgltf*:-fKwnMw rimm riwtaqg- A GENERAL INFORMATION PPG Industries, Inc. GENERATOR NAME: L _1 TRANSPORTER: L CWM, Orange, TX ICILITY AOORESS: l_ L L P. 0. Box 1000 Columbia Southern Road, Westlake, LA. Lake Charles, LA 70602 (318) 625-9003 _t "TRANSPORTER PHONE: L. LAP P P PJ GENERATOR USEPA 1.0. 8 |8|6 i5i0 J GENERATOR STATE I.D. I NA _______________________________ technical contact: i Andy P, Plauchei TITLE. Pit. Env. Foreman ^ME..(318l 491-4814 name of waste: , Sol ids contami nated wi th Trichloroethylene PROCESS GENERATING WASTE: t_ Production of chlorinated hydrocarbons B PHYSICAL CHARACTERISTICS OF WASTE: COLOR Gray/Brown toBlack ODOR NONE 0 MILD 13 STRONG DESCRIBE* Sweet , PHYSICAL STATE O 70*F LXJ SOLID U SEMLSOUD 0 UOUIO POWDER layers 0 MULTILAYERED BI-LAYERED [S SINGLE PHASED FREE LlOUlOa D YES D NO VOLUME L*1 4 pH: < 2 2-4 H 7.1-10 10-T- 12.S n/A SPECIFIC Q< 8 GRAVITY Q.S-1.0 13-1.4 0 15-1.7 FLASH < 70-F POINT ,, QtO'F-IWF > 200*F (3 NO FLASH 0 CLOSED CUP 0 OPEN CUP [xl 4.1-6.9 ar > ' 0 EXACT l_ 12 1.1-1.2 0 EXACT > 1-7 l01`F-138-F Q 140*F-200*F Q EXACT,____ C CHEMICAL COMPOSITION (TOTALS MUST ADD TO 10O%) i Trichloroethylene Inert Solids (dirt, shell, sand. wood, paper) IC. 10 |% 90-99.5*. 1 JV- D METALS 2 TOTAL (PPM) arsfnic iasi i None BARIUM (Ba) l_ CAOMIUM (Cd) L_ CHROMIUM (Cf) L- None None None EPA EXTRACTION PROCEDURE (mg/L) NOneI SELENIUM (Sail_______ ____ SILVER (Ag) |___ None i mPPFR (rn) 1 None J NICKEL INI) 1. None l Nonei i% MERCURY (Hg) |_ .% LEAD <Pt L_ None ZINC (Znl 1 THAU KIM(Tl) |_... None None __l 1 8)i NOneii* CHROMIUM-HEX (Cm- J1 ------ L. i l% E OTHER COMPONENTS TOTAL (PPM) i i% r.vANinFS iw SULFIDES i None 1______ None PT.R'R * i PHENOUCS 1____ None .1 None ____1 PF SHIPPING INFORMATION O.O.T. HAZARDOUS MATERIAL? S YES 0 NO proper shipping namfi Hazardous Waste Solid. NOS HAZARD CLASS i ORM-E J I D NO. L METHOO OF SHIPMENT: BULK LIQUID 9189 _l R.Q None BULK SOLID 0 DRUM (TYPE/SIZE) L. ANTICIPATED VOLUME: l_ 20_J GALS. I_ _i CUBIC YARDS PER: 0 ONE TIME QUARTER J OTHER L_ WEEK H YEAR 0 MONTH 0,______ B HAZARDOUS CHARACTERISTICS REACTIVITY: SI NONE 0 PYROPHORIC Q SHOCK SENSITIVE EXPLOSIVE D WATER REACTIVE OTHER OTHER HAZARDOUS CHARACTERISTICS: SI NONE D RADIOACTIVE ETIOLOGICAL EH PESTICIDE MANUFACTURING WASTE other I___ USEPA HAZARDOUS WASTE? [El YES G NO USEPA HAZARDOUS COOE<3) STATE HAZARDOUS WASTE? [El YES STATE COOE(S) |__ U228 ,L NO -I I- H SPECIAL HANDLING INFORMATION . . ADDITIONAL PAGEIS) ATTACHED I HERESY CERTIFY THAT ALL INFORMATION-SUBMITTED IN THIS ANO ALL ATTACHED DOCUMENTS IS COMPLETE AND ACCURATE. AND THAT ALL KNOWN OR SUSPECTED HAZARDS HAVE BEEN DISCLOSED. " AUTHORIZED SIGNATURE TITLE DATE or , 046266 j Plant Env. Liaison Foreman . L fa? ! Ml DENEKAL INFOAMATION ^|Pn E25615 SENSRATQN NAME: i PPG ItldUStHfiSt IllC P. 0. Box 1000 FACIUTV AOOACOS: t_ Columbia Southern Road, Westlake, LA. Lake Charles. LA 70602 _i TWAMEAOATEitei--CMM, Orange. TX _l THANKPORTEK WQMi; I .(318) 626-9003 L A D 0 QJ GENERATOR USEPA 1.0. 8 J GENERATOR STATE La I NA 6 6 f) 6 , Andy P.technical contact i Plauche*i title; Bit. Env. Foreman -1-nameorSolids contaminated with Trichloroethylene PHONt tUXaUSL j PROCESS GENERATING WASTE; L Production af cbJodnated. hydrocarbons Pi PHYSICAL characteristics Of WASTE I COLOR I Gray/Brown to I Black OOOR NONE MILO S3 STROM PHYSICAL STATE WF souo Dsemkouq GuOUO G POWDER LAYERS MULTILAYERED Gbuayered G single phased free uouas yes Gm uni nua Qmia SPECIFIC < GRAVITY UJ-IjO flash G<f POINT _ Q *F- H*F > 0'p B NO PLASM CLOEEO COP Q OPEN CUP 3 ,-,-u exact Q Wlf W*'F Q i*f.m I~1 EXACT, C CHEMICAL COMPOSITION | ! MUST AOO TO lOOM) . Inert Solids (dirt, shell, sand. , wood, paper) ,90.99^ .. . 1 iW METALS ARSENIC {AN I TOTAL (PPM) i___ Clone. saraim ism CADMIUM (GA CHROMIUM (CD .Mona None None MERCURY (KM L. ikm. LEAD (Pb| L. -Nona. i EXTRACTION PROCEDURE ImQlL) SILVER (AM l_ COPPER (Cut l_ None None NICKEL (NR L .Hone ZINC (ZM |_ -None THAUJUMfT* |_ Jjons. lCHROMKIM-HEX (Cl EIL. JtlQOE u II -j i<5 OTHfiJI COMPONENTS . TOTAL (PPM) iM I CYANIDES I Lsulpides None itana. I j PHCNOUCS L. .None Nona SHIPPING information D.O.T. HAZARDOUS MATERIALT B YES Q NO HAZARDOUS CHARACTERISTICS REACTIVITY: NONE ' PYROPHORIC O SHOCK SENSITIVE , NfK t ------- 'E LJ WATER REACTIVE OTHER |__________J hazard c/ssiftRM-F La NO. 1 9189 _ iio Monp METHOO Of SHIPMENT: GsULX.UOUIO ^ BULK SOLID i 1' P DRUM (TYPEJSIZE) 1______________________________________ ANTTCIPATEO VOLUME: L. I CUBIC YARDS PER: ONE TIME QUARTER .1 OTHER LDweek H year MONTH ,_____ OTHER HAZARDOUS CHARACTERISTICS: > NONE RAOKMCT1VE Q ETIOLOGICAL PESTIClOe MANUPAO^AlM^ilSTE ' D OTHER I_______________ USEPA HAZARDOUS WASTE? ' {pYES OnO USEPA HAZARDOUS CODC(S) l1122L-I II I ................J STATE HAZARDOUS STATE COOKS) I NO H SPECIAL HAMOUMG INPORMATION . . AOOITIONAL PAOEISI ATTAC I'HERESY CSRTIPY THAT ALL INPORMATION SUBMITTED IN THIS AND ALL ATTACHED OOCUMENTE IS COMPLETE ANO ACCURATE. AND THAT ALL KNOWN ON SUSPECTED HAZARDS HAVE SEEN OMCLOSEa AUTHORIZED SIGNATURE TITU _ 0ATE SL 046267 . z//f r~ Plant ny. Liaison Foreman